Provider Demographics
NPI:1962099705
Name:HOPE ABA, BEHAVIORAL & ACADEMIC SERVICES,
Entity type:Organization
Organization Name:HOPE ABA, BEHAVIORAL & ACADEMIC SERVICES,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD PENDING
Authorized Official - Phone:213-984-3937
Mailing Address - Street 1:25558 OAK ST
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2635
Mailing Address - Country:US
Mailing Address - Phone:121-398-4393
Mailing Address - Fax:
Practice Address - Street 1:25558 OAK ST
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2635
Practice Address - Country:US
Practice Address - Phone:121-398-4393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty